Test 1: bandages Flashcards
4 functions of bandages
Protection
Absorption of draining material
Compression of soft tissues
Stabilization/external coaptation
external coaptation
Splint or cast used as the primary
stabilization technique for fracture management or support surgical repair, joint instability
can be temporary, primary or secondary
when to use external coaptation vs surgery
Incomplete fractures of young animals
Simple fractures with minimal displacement
Ulna or fibula intact
Can stabilize the joint above & below fracture
When owners have severe financial constraints
when to not use splint as primary
Joint fractures
Splint can not counteract
fracture forces
Can not stabilize the joint above & below fracture (hip/ shoulder)
proper xray of fracture include
2 orthogonal views
can see joint above and below the fracture
Orientation of the bone in respect
to the normal anatomic axis in all
planes
alignment
alignment
limb lined up
Orientation of the bone in respect
to the normal anatomic axis in all
planes
Position of joints above & below the fracture
§ Not looking at the fracture site
§ Cranial-caudal view and medial-lateral view of both the stifle and tarsus
Act of placing fracture
fragments into apposition
reduction
How the fracture fragments relate
to one another (puzzle pieces)
apposition
how to reduce and align a transverse fracture
pull/distract the ends
form 90° hinge
then straighten out
50% apposition in 2 radiographic views is
acceptable (total of 25%)
if bones start to splinter or break STOP
1st layer of a bandage
contact/primary layer
can be adherent or non-adherent
2nd layer of bandage
intermediate/secondary layer
absorbs excessive would fluid
support
compression
last layer of bandage
outer/tertiary
protect from external world
hold in place
what are stirrups used for
placed on skin- 25-50% of bandage
used to prevent bandage from slipping off
when bandaging what direction do you move
from distal up the leg
start with 100% overlap at toes, then 50% up the limb
robert jones bandage
Bulky compression bandage
Temporary support
Not a definitive repair
Decrease swelling
Low complication rate
modified robert jones bandage
less cast padding but still enough to support and prevent splint material from rubbing
masson metal and plastic splints
Use with a modified Robert Jones
bandage
* Only good for digit, metacarpal &
metatarsal injuries
* Not custom
* “Spoon” part goes under the foot
– Partially weight bear on splint
aluminum rod splint
used with modified robert jones bandage
can shape rod and extend it so not weight bearing on leg
— is molded with warm water to be custom splint
orthoplast
bivalve cast
cut cast in half to allow for swelling and visualization of skin and wounds
when to use half cast
made from casting material
acts as splint
— are used to immobilize shoulder or hip joint
spica splint
Modified Robert Jones bandage encircling the torso under the splint
Splint from aluminum rod, orthoplast, or casting material
Schroeder-thomas splint
traction splint for minimally displaced fracture
fracture distal to the elbow or knee
— is a traction splint for minimally displaced fractures distal to the elbow or knee
Schroeder-thomas splint
— is used for non weightbearing front limbs
velpeau sling
Maintains carpus, elbow & shoulder in flexion
Non-weight-bearing sling
Shoulder luxations & fractures
Adjunctive support if want patient non-weight-bearing on leg
Velpeau sling
non-weight bearing
shoulder luxations and fracture
ehmer slings are used for
craniodorsal hip luxations
non-weight bearing sling
internally rotates the hip and abducts the limb
— will internally rotate the hip and abduct the limb. A non weight bearing sling
Ehmer sling
used for craniodorsal hip luxation
carpal flexion bandage
Relieves tension from flexor
tendons
Used after flexor tendon repair
Non-weight bearing bandage
Do not leave on too long-
permanent contracture can
occur
what to use for caudal ventral hip luxation
hobbles
prevents abduction
sling used for caudal ventral hip luxation
hobbles
prevents abduction
